Testbank
Maternity and Women's healthcare
13th Edition Lowdermilk
,Contents
Part 1: Introduction to Maternity and Women’s Health Care
Chapter 1: 21st-Century Maternity and Women’s Health Nursing
Chapter 2: Community Care: The Family and Culture
Chapter 3: Nursing and Genomics
Part 2: Women’s Health
Chapter 4: Assessment and Health Promotion
Chapter 5: Violence Against Women
Chapter 6: Reproductive System Concerns
Chapter 7: Sexually Transmitted and Other Infections
Chapter 8: Contraception and Abortion
Chapter 9: Infertility
Chapter 10: Problems of the Breast
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System
Part 3: Pregnancy
Chapter 12: Conception and Fetal Development
Chapter 13: Anatomy and Physiology of Pregnancy
Chapter 14: Nursing Care of the Family During Pregnancy
Chapter 15: Maternal Nutrition
Part 4: Labor and Birth
Chapter 16: Labor and Birth Processes
Chapter 17: Maximizing Comfort for the Laboring Person
Chapter 18: Fetal Assessment During Labor
Chapter 19: Nursing Care of the Family During Labor and Birth
Part 5: Postpartum
Chapter 20: Postpartum Anatomical and Physiologic Changes
Chapter 21: Nursing Care of the Family During the Postpartum Period
Chapter 22: Transition to Parenthood
Part 6: The Newborn
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn
Chapter 24: Nursing Care of the Newborn and Family
Chapter 25: Newborn Nutrition and Feeding
Part 7: Complications of Pregnancy
Chapter 26: Assessment of High-Risk Pregnancy
Chapter 27: Hypertensive Disorders
Chapter 28: Hemorrhagic Disorders
Chapter 29: Endocrine and Metabolic Disorders
Chapter 30: Medical-Surgical Disorders
Chapter 31: Mental Health Disorders and Substance Abuse
Chapter 32: Labor and Birth at Risk
Chapter 33: Postpartum Complications
Part 8: Newborn Complications
Chapter 34: Nursing Care of the High-Risk Newborn
Chapter 35: Acquired Problems of the Newborn
Chapter 36: Hemolytic Disorders and Congenital Anomalies
Chapter 37: Perinatal Loss, Bereavement, and Grief
,Chapter 1: 21st-Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
()
Weight (LBW)infant, which factor is the most important for the nurse to consider?
()
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
Hispanic black infants are almost twice as likely as non-
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifia
ble risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, but
() ()
it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition
is an important factor in potential infant mortality rates, but it is not the most important. Ad
ditionally, nutritional status is a modifiable risk factor. Maternal education is an important fa
ctor in potential infant mortality rates, but it is not the most important. Additionally, materna
() ()
l education is a modifiable risk factor.
(
PTS: 1 DIF:
Cognitive Level: understandtop:
()
Nursing Process: Assessment
MSC: Client Needs: healtnhuprros
mi iog
otn ntanbd.mcao
inm
tenance, Antepartum Care
2. A 23-year-old African-
American woman is pregnant with her first child. Based on current statistics for infant mort
()
ality, which intervention is most important for the nurse to include in the client’s plan of car
() ()
e?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associate
d with infant mortality. Nutritional status is an important modifiable risk factor, butit is not the
()
most important action a nurse should take in this situation. The client may need assistance fr
om a social worker at some time during her pregnancy, but a referral to a socialworker is not
the most important aspect the nurse should address at this time. If the woman has identifiable
high-
Risk problems, then her health care may need to be provided by a physician. However, it
()
cann ot be assumed that all African-American women have high-
()
Risk issues. In addition, advising the woman to see an obstetrician is not the most
()
important as pect on which the nurse should focus at this time, and it is not appropriate for a
()
nurse to advis e or manage the type of care a client is to receive.
PTS: 1 DIF:
Cognitive Level: understandtop:
()
Nursing Process: Planning
, MSC: Client Needs: Health Promotion and Maintenance
()
3. The nurses working at a newly established birthing center have begun to compare theirp
erformance in providing maternal-
Newborn care against clinical standards. This comparison process is most commonlyk
nown as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented pracntiucer s
d. Evidence-based practice
ANS: C
Outcomes-
Oriented practice measures the effectiveness of the interventions and quality of care against
benchmarks or standards. The term best practice refers to a program or service that has been r
() ()
ecognized for its excellence. Clinical benchmarking is a process used to compare one’s own
performance against the performance of the best in an area of service. The term evidence-
based practice refers to the provision of care based on evidence gained through research and
clinical trials.
PTS: 1 DIF:
Cognitive Level: understandtop:
Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial a
()
ssessment of a 21-year-
Old Hispanic client with limited English proficiency. Which intervention is the most i
() () ()
mportant for the nurse to implement?
a. Use maternity jargon to enable the client to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
()
d. Assess whether the client understands the discussion.
ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
evaluating whether the client understands the discussion. Speaking slowly and clearly and f
() ()
ocusing on what is important will increase understanding. Most client education materialsar
() ()
e written at a level too high for the average adult and may not be useful for a client withlim
ited English proficiency.
PTS: 1 DIF:
Cognitive Level: applytop:
Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
()
5. Which statement best exemplifies contemporarymaternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
()
d. Physician-
drivencareans: B
Maternity and Women's healthcare
13th Edition Lowdermilk
,Contents
Part 1: Introduction to Maternity and Women’s Health Care
Chapter 1: 21st-Century Maternity and Women’s Health Nursing
Chapter 2: Community Care: The Family and Culture
Chapter 3: Nursing and Genomics
Part 2: Women’s Health
Chapter 4: Assessment and Health Promotion
Chapter 5: Violence Against Women
Chapter 6: Reproductive System Concerns
Chapter 7: Sexually Transmitted and Other Infections
Chapter 8: Contraception and Abortion
Chapter 9: Infertility
Chapter 10: Problems of the Breast
Chapter 11: Structural Disorders and Neoplasms of the Reproductive System
Part 3: Pregnancy
Chapter 12: Conception and Fetal Development
Chapter 13: Anatomy and Physiology of Pregnancy
Chapter 14: Nursing Care of the Family During Pregnancy
Chapter 15: Maternal Nutrition
Part 4: Labor and Birth
Chapter 16: Labor and Birth Processes
Chapter 17: Maximizing Comfort for the Laboring Person
Chapter 18: Fetal Assessment During Labor
Chapter 19: Nursing Care of the Family During Labor and Birth
Part 5: Postpartum
Chapter 20: Postpartum Anatomical and Physiologic Changes
Chapter 21: Nursing Care of the Family During the Postpartum Period
Chapter 22: Transition to Parenthood
Part 6: The Newborn
Chapter 23: Physiologic and Behavioral Adaptations of the Newborn
Chapter 24: Nursing Care of the Newborn and Family
Chapter 25: Newborn Nutrition and Feeding
Part 7: Complications of Pregnancy
Chapter 26: Assessment of High-Risk Pregnancy
Chapter 27: Hypertensive Disorders
Chapter 28: Hemorrhagic Disorders
Chapter 29: Endocrine and Metabolic Disorders
Chapter 30: Medical-Surgical Disorders
Chapter 31: Mental Health Disorders and Substance Abuse
Chapter 32: Labor and Birth at Risk
Chapter 33: Postpartum Complications
Part 8: Newborn Complications
Chapter 34: Nursing Care of the High-Risk Newborn
Chapter 35: Acquired Problems of the Newborn
Chapter 36: Hemolytic Disorders and Congenital Anomalies
Chapter 37: Perinatal Loss, Bereavement, and Grief
,Chapter 1: 21st-Century Maternity and Women’s Health Nursing
MULTIPLE CHOICE
1. In evaluating the level of a pregnant woman’s risk of having a low-birth-
()
Weight (LBW)infant, which factor is the most important for the nurse to consider?
()
a. African-American race
b. Cigarette smoking
c. Poor nutritional status
d. Limited maternal education
ANS: A
The rise in the overall LBW rates were due to increases in LBW births to non-
Hispanic black women (13.35%) and Hispanic women (7.21%); non-
Hispanic black infants are almost twice as likely as non-
Hispanic white infants to be of LBW and to die in the first year of life.. Race is a nonmodifia
ble risk factor. Cigarette smoking is an important factor inpotential infant mortality rates, but
() ()
it is not the most important. Additionally, smoking is a modifiable risk factor. Poor nutrition
is an important factor in potential infant mortality rates, but it is not the most important. Ad
ditionally, nutritional status is a modifiable risk factor. Maternal education is an important fa
ctor in potential infant mortality rates, but it is not the most important. Additionally, materna
() ()
l education is a modifiable risk factor.
(
PTS: 1 DIF:
Cognitive Level: understandtop:
()
Nursing Process: Assessment
MSC: Client Needs: healtnhuprros
mi iog
otn ntanbd.mcao
inm
tenance, Antepartum Care
2. A 23-year-old African-
American woman is pregnant with her first child. Based on current statistics for infant mort
()
ality, which intervention is most important for the nurse to include in the client’s plan of car
() ()
e?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
Consistent prenatal care is the best method of preventing or controlling risk factors associate
d with infant mortality. Nutritional status is an important modifiable risk factor, butit is not the
()
most important action a nurse should take in this situation. The client may need assistance fr
om a social worker at some time during her pregnancy, but a referral to a socialworker is not
the most important aspect the nurse should address at this time. If the woman has identifiable
high-
Risk problems, then her health care may need to be provided by a physician. However, it
()
cann ot be assumed that all African-American women have high-
()
Risk issues. In addition, advising the woman to see an obstetrician is not the most
()
important as pect on which the nurse should focus at this time, and it is not appropriate for a
()
nurse to advis e or manage the type of care a client is to receive.
PTS: 1 DIF:
Cognitive Level: understandtop:
()
Nursing Process: Planning
, MSC: Client Needs: Health Promotion and Maintenance
()
3. The nurses working at a newly established birthing center have begun to compare theirp
erformance in providing maternal-
Newborn care against clinical standards. This comparison process is most commonlyk
nown as what?
a. Best practices network
b. Clinical benchmarking
c. Outcomes-oriented pracntiucer s
d. Evidence-based practice
ANS: C
Outcomes-
Oriented practice measures the effectiveness of the interventions and quality of care against
benchmarks or standards. The term best practice refers to a program or service that has been r
() ()
ecognized for its excellence. Clinical benchmarking is a process used to compare one’s own
performance against the performance of the best in an area of service. The term evidence-
based practice refers to the provision of care based on evidence gained through research and
clinical trials.
PTS: 1 DIF:
Cognitive Level: understandtop:
Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
4. During a prenatal intake interview, the nurse is in the process of obtaining an initial a
()
ssessment of a 21-year-
Old Hispanic client with limited English proficiency. Which intervention is the most i
() () ()
mportant for the nurse to implement?
a. Use maternity jargon to enable the client to become familiar with these terms.
b. Speak quickly and efficiently to expedite the visit.
c. Provide the client with handouts.
()
d. Assess whether the client understands the discussion.
ANS: D
Nurses contribute to health literacy by using simple, common words, avoiding jargon, and
evaluating whether the client understands the discussion. Speaking slowly and clearly and f
() ()
ocusing on what is important will increase understanding. Most client education materialsar
() ()
e written at a level too high for the average adult and may not be useful for a client withlim
ited English proficiency.
PTS: 1 DIF:
Cognitive Level: applytop:
Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
()
5. Which statement best exemplifies contemporarymaternity nursing?
a. Use of midwives for all vaginal deliveries
b. Family-centered care
c. Free-standing birth clinics
()
d. Physician-
drivencareans: B
